go back

Indiana rates for HCPCS D0250

extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $17.13 / $17.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.32 / $22.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $52.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $27.00 / $37.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $20.72 / $21.88